Sammanfattning
Background Measuring patient satisfaction in mental health care potentially provides valuable
information, but studies in acutely admitted psychosis patients are scarce. Aims The aims were to
assess satisfaction among patients acutely admitted with psychosis, to compare satisfaction in
voluntarily versus involuntarily admitted patients, and to assess the influence of symptom load and
insight. Methods The UKU Consumer Satisfaction Rating Scale (UKU-ConSat) was used. A total of 104
patients completed the UKU-ConSat at discharge/follow-up (between 6-11 weeks after admittance if
not discharged earlier) (mean duration of stay 4 weeks), thus corresponding to the end of the acute
treatment phase. Results A total of 88.4% had total scores above zero (satisfied). Only three of the
eight single items were statistically significantly different among patients admitted voluntarily versus
involuntarily, and only the information item score remained significantly different in adjusted
analyses. Insight level at admittance, and an increasing level of insight during the acute phase were
positively associated with patient satisfaction, whereas levels and changes in positive and negative
psychosis symptoms were indirectly related to satisfaction via this process of insight. Conclusions
The vast majority of the acutely admitted patients were satisfied with treatment. There were few
differences between the involuntarily and voluntarily admitted patient groups, except that the
involuntary care group was clearly less satisfied with the information provided. Poor insight had a
major negative impact on treatment satisfaction in psychosis. The provision of sufficient and
adequate information is an important target for mental health care service improvement.